1424 Rebecca Lane - COCCity of bp
SANITARY SEWER SYSTEM
CERTIFICATE OF COOMPLIANCE for
INFLOW & INFILTRATION
City of Eapo
City of Eagan, Minnesota
Property Address: 14-3-
COMPLIANCE WITH INIIIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on l ._ , 201 0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORREC IIVE WORK PERFORMED
n Ihis is to certify that the property listed above has been found to be in compliance with Section 3.40 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
fl City Sanitary Sewer Permit fl City Plumbing Permit
NOTE! Applicable only if box is checked,: I (Based on a review of the Sewer Service video inspection /repoa t on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: � vv� �5 11. r Vim. / �"�^'� /
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23. 2010